10889
| ID | 10889 |
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| Data | 2021-09-17 |
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| Symbol | 2021/09/17/10889 |
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| Instytucja | Urząd Miasta Łodzi |
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| Nazwa | Wniosek o wydanie zaświadczenia o pobieraniu świadczeń przyznawanych przez jednostki organizacyjne Miasta Łodzi świadczące usługi w obszarze polityki społecznej |
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| Czy Aktualny | 1 |
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Ustawy (1)
Pliki
Styl
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<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:right; ">
<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text>Łódź, dn. </xsl:text>
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<xsl:for-each select="wnio:DaneWniosku">
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<xsl:value-of select="string(.)"/>
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<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="font-size:14.67px; ">
<xsl:text> </xsl:text>
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<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
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<xsl:for-each select="oso:Imie">
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<xsl:value-of select="string(.)"/>
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<xsl:text> </xsl:text>
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<xsl:for-each select="oso:Nazwisko">
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<xsl:value-of select="string(.)"/>
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<br/>
<xsl:for-each select="oso:IdOsoby/oso:PESEL">
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<xsl:text>PESEL: </xsl:text>
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<br/>
<xsl:for-each select="wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/adr:Adres">
<xsl:for-each select="adr:KodPocztowy">
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<xsl:text> </xsl:text>
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<xsl:for-each select="adr:Miejscowosc">
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<xsl:value-of select="string(.)"/>
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<xsl:text>, </xsl:text>
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<xsl:for-each select="adr:Ulica">
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<xsl:value-of select="string(.)"/>
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<xsl:text> </xsl:text>
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<xsl:for-each select="adr:Budynek">
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<xsl:value-of select="string(.)"/>
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<xsl:text> m </xsl:text>
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<xsl:for-each select="adr:Lokal">
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<xsl:value-of select="string(.)"/>
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</xsl:for-each>
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<xsl:for-each select="wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji">
<span>
<xsl:value-of select="string(.)"/>
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<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="color:#767171; font-family:Calibri; font-size:smaller; font-style:italic; vertical-align:super; ">
<xsl:text>wnioskodawca</xsl:text>
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<p style="text-align:right; ">
<xsl:for-each select="wnio:Dokument/wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji">
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<xsl:value-of select="string(.)"/>
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<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:right; ">
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<xsl:text>wniosek składany do</xsl:text>
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<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:18.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:20px; text-align:center; ">
<span style="font-family:Calibri; font-size:18.67px; ">
<xsl:text>WNIOSEK</xsl:text>
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<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:center; ">
<span style="font-size:14.67px; ">
<xsl:text> o wydanie zaświadczenia </xsl:text>
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<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
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<xsl:value-of select="string(.)"/>
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<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:20px; ">
<span style="color:#767171; font-family:Calibri; font-size:14.67px; ">
<xsl:text>dotyczącego osoby:</xsl:text>
</span>
<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
<xsl:for-each select="wnio:DaneKlientaZWniosku">
<xsl:for-each select="@Imie">
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<xsl:value-of select="string(.)"/>
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<span>
<xsl:text> </xsl:text>
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<xsl:for-each select="@Nazwisko">
<span>
<xsl:value-of select="string(.)"/>
</span>
</xsl:for-each>
<span>
<xsl:text> (PESEL: </xsl:text>
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<xsl:for-each select="@PESEL">
<span>
<xsl:value-of select="string(.)"/>
</span>
</xsl:for-each>
<span>
<xsl:text>)</xsl:text>
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</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
<span style="font-size:14.67px; ">
<xsl:text> </xsl:text>
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</p>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="font-size:14.67px; ">
<xsl:text> </xsl:text>
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<span style="color:#767171; font-family:Calibri; font-size:14.67px; ">
<xsl:text>za okres:</xsl:text>
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<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
<xsl:for-each select="wnio:ZaswiadczenieInfo">
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<xsl:text>od dnia:</xsl:text>
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<span>
<xsl:text> </xsl:text>
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<xsl:for-each select="@OdDnia">
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<xsl:value-of select="string(.)"/>
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<xsl:text> do dnia: </xsl:text>
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<xsl:for-each select="@DoDnia">
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<xsl:value-of select="string(.)"/>
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</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
</p>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="color:#767171; font-family:Calibri; font-size:14.67px; ">
<xsl:text>cel wydania zaświadczenia:</xsl:text>
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<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
<xsl:for-each select="wnio:ZaswiadczenieInfo">
<xsl:for-each select="@Cel">
<span>
<xsl:value-of select="string(.)"/>
</span>
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</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
</p>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="color:#767171; font-family:Calibri; font-size:14.67px; ">
<xsl:text>podstawa prawna:</xsl:text>
</span>
<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
<xsl:for-each select="wnio:ZaswiadczenieInfo">
<xsl:for-each select="@PodstawaPrawna">
<span>
<xsl:value-of select="string(.)"/>
</span>
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</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
</p>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="color:#767171; font-family:Calibri; font-size:14.67px; ">
<xsl:text>sposób udostępnienia:</xsl:text>
</span>
<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
<xsl:for-each select="$XML">
<xsl:for-each select="wnio:Wniosek_O_Zaswiadczenie">
<xsl:for-each select="wnio:ZaswiadczenieInfo">
<xsl:for-each select="@Forma">
<span>
<xsl:value-of select="string(.)"/>
</span>
</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
</xsl:for-each>
<span style="font-size:14.67px; ">
<xsl:text> </xsl:text>
</span>
</p>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<p style="line-height:14.67px; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; ">
<span style="font-family:Calibri; font-size:14.67px; ">
<xsl:text>Wnioskodawca zobowiązuje się do wykorzystywania udostępnionych danych wyłącznie zgodnie ze wskazanym celem.</xsl:text>
</span>
</p>
<p style="line-height:inherit; margin-bottom:0.00px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<div>
<p style="margin-bottom:0px; margin-left:0px; margin-right:0px; margin-top:0px; "/>
<xsl:choose>
<xsl:when test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<p><strong>Podpis elektroniczny</strong>
<br/>
<xsl:text>Dokument został podpisany elektronicznie. Użyj specjalnego oprogramowania, aby zweryfikować podpis.</xsl:text>
<xsl:choose>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) > 1"><br/>
<xsl:text>Daty złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) = 1"><br/>
<xsl:text>Data złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="0 >= count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime'])"/>
</xsl:choose>
</p>
</xsl:when>
<xsl:otherwise>
<p>Dokument nie zawiera podpisu</p><br/>
</xsl:otherwise>
</xsl:choose><br/>
</div>
</body>
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